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national health programmes national health programmes Presentation Transcript

  • Presented By- S.Bhaktiswarupa Msc (N) 1st Year Sum Nursing College
  •  National Anti Malaria Programme  National Filaria Control Programme  Kala–azar Control Programme  JE Control programme  Dengue fever control programme
  •  Launched in India -1953  ACTION- Indoor residual spray of DDT in endemic areas.  RESULT- 80% of reduction in Malaria cases.  Launched in India -1958  ACTION- Programme in various phases. (Preparatory, Attack , Maintenance)  RESULT- Early beginning successful very high, late set back.
  •  Modified plan of action (1977) OBJECTIVE :  Prevent death  Reduce morbidity  Maintain Industrial and Agricultural production. OUTCOMES:  Brought down then 2.18 million in 1984 and remain stable in 2 million up to 1993. Again number of death increased.
  •  Government of India adopted in 1994 OBJECTIVES:  Management of critical complicated cases of Malaria.  Check death in high risk groups.  Reduce morbidity rate.  Checking malaria endemic.  Limiting cases of drug resistance. WORK POLICY:  Finding and treating.  Controlling of parasite.  Indentifying primary areas.
  •  Launched in 1971 OBJECTIVES:  Adopting recurrent antilarval measure in urban areas.  Indentifying malaria cases with help of available system and health workers.  Controlling malaria through treatment.
  •  Launched in 1997 COMPONENTS:  Early diagnosis and prompt treatment.  Selective vector control and indivisual protection.  Information, Education, Communication.  Developing capacity against infection.  Epidemic planning and rapid response
  •  In 2010, India is on 18th position in total reported cases in the world and 21st position in total world death of Malaria.  85% cases from Odisha, Rajasthan, Chhattisgarh, Madhya pradesh, Tripura, Andhra pradesh, Gujurat, Maharastra, West Bengal, Assam.
  •  Launched in 1955 MEASURES:  Assessing the extend of problem of filaria.  Treating and Diagnosed cases with DEC.  Continuing the disease control through antilarval and anti parasitic programme in urban areas.
  •  Launched in 1990-91 Goals:  To eradicate 2010; Actions:  Reduce number of vector and the transmission by sprinkling of chemical twice /year.  Primary diagnosis and treatment.  Providing health education for protection against disease.
  • JE o Started1958 o ACTION Treatment Finding Monitoring Implementation In 2005 23 affected 5 deaths reported DENGUE  1996 1st case detected  It has reduced upto ,0.4% in 2011.  ACTION Identifying Vector control Case management IEC
  •  In year 1990 ARD control programme had launched  During 1992-93 it is implemented as a part of CSSM prog. OBJECTIVES  To reduce mortality in children due to ARD STRATERGIES  To ensure standard care management  To trained peripheral health staff  To promote timely referral  To improve maternal knowledge  To promote immunisation
  •  Started in 1962 OBJECTIVES:  Long term objective  Short term objective ORGANISATION:  District TB centre on average 50 peripheral health centre  PHC, CHC, General Hospital
  •  Reviewed NTP and launched RNTCP on 1992. Strategies:  Achievement of at least 85% cure rate of infections cases through short term Chemotherapy.  Case findings through Sputum Microscopy.  Strengthening health care centre.  Ensure the supply of Antituberculosis medication .  Being improvement of all NGO staffs and all categories of health worker.
  • COUGH FOR 2 WEEKS OR MORE 3 Sputum smears 1 or 2 Positive 2 Negatives Antibiotics 10 – 14 days Cough persists Repeat 2 Sputum Examination 1 or 2 Positives 2 Negative X-ray chest Suggestive of TB Negative for TB Sputum negative PTB Anti TB Treatment Non TB Sputum Positive PTB Anti TB Treatment
  • Success of DOTS depends  Political commitment.  Good quality Sputum Microscopy.  Uninterrupted supply of good quality drugs.  Accountability
  •  India is 2nd largest country in world in terms coverage of DOTS.  By October 2004, 83% of population covered under RNTCP.  About 9000 lab established.  More than 85% success rate till 2006.  Death reduced from 24% - 4%.
  • OBJECTIVE:  To remove leprosy from the country. In 2002; India has 5/10,000 population Leprosy ratio. OBJECTIVE:  To treat Leprosy at home by DAPSONE MONOTHERAPY In 2007 onwards; OBJECTIVE:  Early detection cases  Treating with MDT
  •  Home visit  Providing service by health worker.  Solving problem of ugliness and Rehabilitation.  Between 2010-2011 -> 1,26,800 fresh cases of Leprosy around 4000 among them disabilities.
  •  Launched in 1987; OBJECTIVES:  Reducing the Morbidity and Mortality of AIDS.  Minimizing the HIV infection. ACTIVITIES:  Strengthening the Management Potentials  Rectifying IEC System  Control of STD  Safe Blood  Monitoring  Strengthening the diagnosis, Management, Capability.
  •  Launched in India 1978. OBJECTIVE:  Reducing the Morbidity and Mortality resulting from six vaccine preventable disease of childhood.  To achieve self sufficiency in vaccine.  Launched in 1985.  100% vaccination of children and pregnant women. ACHIEVEMENT:  By 2009 coverage level 90% in TT, 88% BCG, 80% DPT, 78.2% OPV
  • OBJECTIVE:  To build capacity at district and state level. ACTIVITIES:  Training of Paramedical and Medical staffs.  Publicity of technical information and direction.  Setting up a development Lab.  Encouraging Participation of community.  Modernization of Communication.
  •  Started in1975; OBJECTIVES:  Primary Prevention  Secondary Prevention  Tertiary Prevention SCHEMES (2004-05):  Regional cancer centre scheme.  Oncology wing development scheme.  District cancer control programme.  IEC at central level.
  •  Started in (1985-90) 7th five year plan. OBJECTIVES:  Identifying high risk group at early stage.  Early diagnosis and management.  Prevention and complication management.  Rehabilitation.
  •  Launched in 7th (Five Year plan) OBJECTIVES:  Mental health care service for all.  Identify high risk group in communities.
  •  Started in 1976 ACTIVITIES:  Establishing Regional institute of Ophthalmology.  Improving level of Ophthalmic Services.  Development of Mobile Ophthalmic Units.  Training and appointing Ophthalmic personnel.  Vision 2020: RIGHT TO SIGHT  School Level Programme:
  •  ICDS  MIDDAY MEAL PROGRAMME  SPECIAL NUTRITION PROGRAMME  NATIONAL NUTRITIONAL ANAEMIA PROPHYLAXIS PROGRAMMME  NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME
  • o To improve the nutrition and health status of children 0-6 yrs. o To lay out the foundation between all aspect of the child o To reduce mortality morbidity and school drop out, of the children o To enhance the capability of mother to provide the child nutritional need
  •  To attract more school attendance .  More literacy level should achieved  School health fulfill 1/3 rd of total requirement per day
  •  To improve the nutritional status of a target group , For children below 6 yrs ,pregnant woman,nursing mother.  Provides 300Kcalorie,10-12 gm of protien per child per day  Mother get 500 kcalorie and 25 gms of protien
  •  Launched in 1962 as national goitre control programme GOALS  Surveying deficiency  Distribution  Evaluation of iodine salt.  Health education  Lab monitoring of iodine
  • 2011 Strategies: of malaria  Accessible cost diagnosis services.  Treatment in identified high risk groups.  Newer diagnostic techniques like Rapid Diagnostic Test.  Long lasting insecticidal nets to improve quality must provide.
  •  In 2011, the success rate was > 87% Quality Sputum smear exam is available .  12th five year plan (2012-2017) = TB FREE INDIA
  • OPEN DISCUSSION